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Managed Care Contracting and Reimbursement Advisor
Managed Care Contracting & Reimbursement Advisor tells you exactly what you must know and do to successfully negotiate the best deal with HMOs, PPOs, and other payors - and get bigger and faster reimbursement!
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December 1, 2010 - Issue 12 -
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Manage your managed care portfolio for best results
Enhanced oversight from CMS can affect practice enrollment
Tread carefully to avoid antitrust issues with IPAs
Payers concerned with 80% MLR, working with exchanges
AMA's PATH tool can help prepare for billing audits
November 1, 2010 - Issue 11 -
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How to appeal denied claims: Have an organized strategy
PPACA bringing more headaches for providers
GAO says CMS needs more oversight of managed care
October 1, 2010 - Issue 10 -
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Avoid denials with clean claims, accurate information
CIGNA outlines how to submit a clean claim
Carve-outs can benefit both provider and insurer
Remedies available when negotiations break down
September 1, 2010 - Issue 9 -
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Using proactive strategy best when renegotiating contracts
Six steps to negotiating better managed care contracts
Speed up claims processing with accurate data, clean submission
August 1, 2010 - Issue 8 -
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Standardized billing practices could save billions of dollars
Physician rating systems under fire, could affect revenue
Credit card act may have effect on revenue
July 1, 2010 - Issue 7 -
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PPACA will bring major changes for contracts and revenue
Use leverage to get best P4P language in contracts
Cost of care tool proves popular
June 1, 2010 - Issue 6 -
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Use these 11 tips to determine when, how to deal with a collection agency
A poorly trained billing staff can cost your practice money
Ask the advisor: Experts answer questions about the impact of reform legislation on contracting and reimbursement issues
May 1, 2010 - Issue 5 -
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Be prepared: Include disaster plans in your contract negotiations
Despite frustration and uncertainty, practices need to participate in PQRI, counsel experts
April 1, 2010 - Issue 4 -
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Experts share tips for terminating contracts
Not the enemy: Retail clinics offer opportunities for collaboration, marketing and enhanced revenues
Verify, document and close the loop, columnist counsels
March 1, 2010 - Issue 3 -
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Don't ignore managed care contracts during mergers, acquisitions
Costly documentation and coding woes beset providers
Use these tips and insights to deal with shrinking reimbursements
February 1, 2010 - Issue 2 -
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Payment issues to contemplate before building a medical home
Promote prompt payment from CDHP, HDHP patients
January 1, 2010 - Issue 1 -
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Regulatory scrutiny: IPAs: Are you in the FTC’s crosshairs?
Think twice before you submit that invoice
MCCRA 2009 index